Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Community/Behavioral Health |
251S00000X | |||
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI Number | 1083449771 |
| LBN Legal business name | BIRTHSTONE WELLNESS |
| Authorized official | TASHA ALLEN - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/03/2024 |
| Last updated | 09/03/2024 - More than a year ago |
| Identifiers | n/a |
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